Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.36 / $4,376.00 / $11,613.67	Facility		$905.36	$4,376.00	$11,613.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $839.88 / $1,056.26 / $2,023.75	Facility		$839.88	$1,056.26	$2,023.75
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $142.78 / $147.88 / $295.27	Facility	AS	$142.78	$147.88	$295.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,324.20 / $25,890.15	Facility		$55.00	$3,324.20	$25,890.15
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $203.06 / $2,454.02 / $2,454.02	Facility	AS	$203.06	$2,454.02	$2,454.02